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It does not directly damage the thyroid gland in most people

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Contact your GP promptly if you experience: Persistent nausea or vomiting that interferes with eating or drinking adequately Signs of hypoglycaemia (low blood sugar) such as trembling, sweating, confusion, or rapid heartbeat, especially if you're taking Ozempic alongside other diabetes medications Significant unintended weight loss or inability to maintain adequate nutrition due to reduced appetite Symptoms of dehydration including dark urine, dizziness, or reduced urination Right upper abdominal pain which could indicate gallbladder problems New or worsening vision problems , particularly if you have pre-existing diabetic retinopathy Arrange a routine appointment to discuss: Changes in eating patterns that concern you or affect your quality of life Difficulty maintaining a balanced diet due to altered food preferences Questions about adjusting your dose if side effects are troublesome Contraception needs, as Ozempic should be stopped at least two months before planned pregnancy Your GP may adjust your Ozempic dose, review your overall diabetes management plan, or refer you to specialist services if needed